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Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino
In contrast to other levels of upper disc spaces, the Luschka joints are usually absent at the C7/T1 disc space. Therefore, it has been reported that the C7/T1 disc herniation is prone to herniate laterally rather than centrally. In this manuscript, we describe an extremely rare central-type disc herniation at the C7/T1 level presented with myelopathy. A 76-year-old man presented with a 20-day history of progressive gait disturbance. Physical examination revealed bilateral lower extremity hyperreflexia and mild foot numbness with no upper extremity motor weakness or sensory disturbance...
March 2017: No Shinkei Geka. Neurological Surgery
Hiroya Iida, Yoichi Matsui, Masaki Kaibori, Kosuke Matsui, Morihiko Ishizaki, Hiroshi Hamada, Masanori Kon
No abstract text is available yet for this article.
February 1, 2017: American Surgeon
Soon Young Ko, Jeong Rok Lee, Joon Ho Wang
A 51-year-old man underwent laparoscopic cholecystectomy for gallbladder stones. He had developed fever, chills, and abdominal pain four days after the procedure. In the drain tube, bile was persistently observed. An endoscopic retrograde cholangiopancreatography (ERCP) showed a leakage from the small duct into the right intrahepatic duct. We determined that the bile leak was caused by an injury to the ducts of Luschka. An endoscopic sphincterotomy (ES) using a 5-F nasobiliary tube (NBT) was performed, and the leak was resolved in five days...
February 25, 2017: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Hiroya Iida, Yoichi Matsui, Masaki Kaibori, Kosuke Matsui, Morihiko Ishizaki, Hiroshi Hamada, Masanori Kon
No abstract text is available yet for this article.
February 1, 2017: American Surgeon
Yoshiteru Shimoda, Kensuke Murakami, Norio Narita, Teiji Tominaga
BACKGROUND: Hydrocephalus is classified as noncommunicating and communicating based on whether all ventricular and subarachnoid spaces are communicating. Although the diagnosis between the two different states is crucial, it is difficult in certain conditions. In particular, communicating hydrocephalus and noncommunicating hydrocephalus owing to fourth ventricle outlet obstruction are highly misdiagnosed. We describe a case of fourth ventricle outlet obstruction of unknown origin that was initially misdiagnosed as communicating hydrocephalus...
January 31, 2017: World Neurosurgery
Hiroshi Ito, Yukiko Nakahara, Masatou Kawashima, Jun Masuoka, Tatsuya Abe, Toshio Matsushima
BACKGROUND: Choroid plexus papillomas (CPPs) are rare benign intracranial tumors. We report a rare case of CPP manifesting with typical symptoms of normal-pressure hydrocephalus rather than obstructive hydrocephalus. CASE DESCRIPTION: A 45-year-old woman presented with a 6-year history of headache and typical symptoms of normal-pressure hydrocephalus, including gait disturbance, urinary incontinence, and cognitive dysfunction, in addition to the more common symptoms of CPP, such as lower cranial nerve dysfunctions and ataxia...
February 2017: World Neurosurgery
Myung-Sang Moon, Min-Geun Yoon, Bong-Keun Park, Min-Suk Park
STUDY DESIGN: Cervical spine radiograms of 460 Jeju islanders. PURPOSE: To investigate the age-matched incidences and severity of the cervical disc degeneration and associated pathologic findings. OVERVIEW OF LITERATURE: Several related studies on the incidences of disc and Luschka's and facet joint degeneration have provided some basic data for clinicians. METHODS: Cervical radiographs of 460 (220 males and 240 females) patients in their fourth to ninth decade were analyzed...
October 2016: Asian Spine Journal
Ho Kyu Paik, Sang-Soak Ahn, Jong Yeol Kim, Dal Sung Ryu, Kyung-Hyun Kim, Dong-Kyu Chin, Keun-Su Kim, Yong-Eun Cho, Sung-Uk Kuh
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at
May 5, 2016: Spine Journal: Official Journal of the North American Spine Society
Abdelrahman E M Ezzat, Hanna M El-Shenawy
The first true anatomical descriptions of the normal anatomy of the palate and pharynx were published by Von Luschka in 1868, and then in 1935 anatomist James Whillis described pharyngeal sphincter. Later, in 1941 Michael Oldfield noted that the muscular elements of the soft palate have a sling-like function. Although there have been conflicting descriptions of the role of the palatopharyngeus, multiple function such as speech, swallowing, and respiration, it could role in all this function. Although, the palatopharyngeus muscle has many important functions, but it remains the missing muscle that we need to know more about it...
July 2015: Annals of Maxillofacial Surgery
Giancarlo Salsano, Francesco Paparo, Alessandro Valdata, Lorenzo Patrone, Marco Filauro, Gian Andrea Rollandi, Giovanni De Caro
No abstract text is available yet for this article.
March 2016: Cardiovascular and Interventional Radiology
B Doumenc, M Boutros, R Dégremont, A F Bouras
Anatomic variations in the biliary tract are common and can cause difficulties when a cholecystectomy is performed. One of the most common ones are hepaticocholecystic ducts and Luschka ducts, connecting the gallbladder or its bed to the bile ducts but distinction between these two types of ducts can be difficult. We do discuss here the differences between these anatomical variations, their origin and their clinical implications. These aberrant ducts may go unnoticed and may require further complementary procedures in case of postoperative biliary leakage...
March 2016: Morphologie: Bulletin de L'Association des Anatomistes
Zlatan Mehmedovic, Majda Mehmedovic, Jasmin Hasanovic
Although laparoscopic cholecystectomy has become a gold standard in treatment of symptomatic cholelithiasis, it is associated with higher risk of intraoperative lesions and primarily lesions of biliary ducts. In small percentage of cases biliary fistulas occur, most commonly after leakage from cystic duct stump or accessory bile ducts - Luschka's duct. We report of a patient who had episodes of abdominal pain following routine laparoscopic cholecystectomy for acute calculous gallbladder. Results of conducted diagnostics verify the presence of biliary fistula caused by obstruction of bile pathways by stagnant pus and microcalculi of common bile duct, with development of biloma presumably caused by pressure injection of contrast material during ERCP procedure...
April 2015: Acta Informatica Medica: AIM
S A Kutia
Eponyms are very commonly used in medicine. Eponyms serve the goal of honoring scientists who have made important contribution to medicine. The article describes widespread and seldom used eponyms found in biliary structures. Priority of discovery of the "Heister's valve", "Luschka's ducts", "sphincter of Odd", "Vater's papilla" was established. An author provides biographical sketches of physicians in whose honor some anatomic entities were named.
2014: Experimental & Clinical Gastroenterology
Sudesh Sharda, Anil Sharma, Rajesh Khullar, Vandana Soni, Manish Baijal, Pradeep Chowbey
Bilomas resulting as a complication of cholecystectomy are often due to a leak from an inadequately secured cystic duct stump, an accessory bile duct or a duct of Luschka in the gallbladder fossa of the liver. Occasionally, bilomas may have an unusual presentation. We describe here a rare case of biloma in the lesser sac after an uneventful laparoscopic cholecystectomy.
April 2015: Journal of Minimal Access Surgery
Rani A Sarkis, Maryann Mays, Carlos Isada, Manzoor Ahmed
OBJECTIVES: Cryptococcal meningitis is an opportunistic infection which can afflict immunocompetent and immunocompromised individuals. Imaging findings in the HIV population are well described; however, few studies have focused on the non-HIV population.The purpose of this study is to characterize clinical and magnetic resonance imaging (MRI) findings in the non-HIV population. METHODS: We performed a retrospective chart review of patients with positive CSF cryptococcal antigen (between 1997 and 2009) who were not HIV positive...
January 2015: Neurologist
Erkan Parlak, Selçuk Dişibeyaz, Bülent Ödemiş, Aydın Şeref Köksal, Fahrettin Küçükay, Nurgül Şaşmaz, Burhan Şahin
BACKGROUND AND AIMS: Endoscopic treatment is effective in the treatment of patients with bile duct injury after cholecystectomy. We aimed to investigate the long-term results of endoscopic treatment, factors predicting the recurrence of the stricture, and to determine the optimal endoscopic treatment. METHODS: The study was a retrospective cohort analysis and conducted at a tertiary referral center in patients with major bile duct injury (Strasberg E1-4 and E5 patients with main bile duct injury)...
June 2015: Digestive Diseases and Sciences
Klaske A C Booij, Philip R de Reuver, Kenneth Yap, Susan van Dieren, Otto M van Delden, Erik A Rauws, Dirk J Gouma
BACKGROUND AND STUDY AIMS: Cystic duct and Luschka duct leakage after laparoscopic cholecystectomy are often classified as minor injuries because the outcome of endoscopic stenting and percutaneous drainage is generally reported to be good. However, the potential associated early mortality and risk factors for mortality are scarcely reported. The aim of this study was to describe the outcome, mortality, and risk factors for poor survival of patients with type A bile duct injury (BDI) referred to a tertiary center...
January 2015: Endoscopy
Adriana Handra-Luca, Seung-Mo Hong
No abstract text is available yet for this article.
October 2015: Applied Immunohistochemistry & Molecular Morphology: AIMM
Fang-Jun Wang, Wei Wei, Sheng-Hui Liao, Hong-Yu Ren, Bing-Hua Fan
OBJECTIVE: To analyze the data of angle variation on traction based on a finite element model of complete cervical spine with straight physiological curvature, and try to give experimental reference and suggestion in treating cervical spondylosis. METHODS: A 43-year-old female patient with straight cervical spine was chosen and the CT scan data were collected. By using specially designed modeling system, a high quality finite element model of complete cervical spine with straight physiological curvature is generated,which included ligament and muscle according to anatomy...
July 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Stephan Herlan, Florian H Ebner, Annika Nitz, Bernhard Hirt, Marcos Tatagiba, Florian Roser
OBJECTIVE: Lesions of the cerebellomedullary cistern lateral to the lower brainstem in an area extending from the foraminae of Luschka to the foramen magnum are rare and can be caused by various sources. There is no consensus on an ideal surgical approach. We describe the anatomical features and the surgical technique of the midline suboccipital subtonsillar (STA) approach to the cerebellomedullary cistern and its pathologies. METHODS: The study was performed on three alcohol (ETOH)-fixed specimens (6 sides), and the technique of the approach was highlighted...
October 2014: Clinical Neurology and Neurosurgery
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